IndividualActive
Russell Mendez
NPI 1073149944 · Mental Illness Community Based Residential Treatment Facility · Hilo, HI
Provider details
- NPI number
- 1073149944
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1786 Kinoole St
Hilo, HI 96720-5245
Phone: (714) 316-3868
Approximate (ZIP-level) locationGet directions
Mailing address
1786 Kinoole St
Hilo, HI 96720-5245
Registry dates
- Enumerated
- 2020-03-23
- Last updated
- 2020-03-23
- Certified
- 2020-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.